基于“互联网+”延续性护理干预对肝内胆管结石行PTCS带管患者的影响 |
| 方佩颖 凌燕 |
| 海军军医大学第三附属医院，上海，201805 |
| 摘要：目的 探究基于“互联网+”延续性护理干预对肝内胆管结石行PTCS 带管患者的影响。方法 选取海军军医大学第三附属医院2022 年1 月～2024 年1 月收治的68 例肝内胆管结石行PTCS 带管患者为研究对象，按照随机数字表分组方法分为KE 组与LN 组，两组各34 例，KE 组采用常规护理，LN组采用“互联网+”延续性护理。比较两组患者知识掌握情况、自护能力（ESCA 评分）、生活质量（SF-36 评分）、并发症发生率及护理满意度。结果 干预前，两组患者知识掌握评分无显著差异（P＞0.05），干预后LN 组比KE 组高（P＜0.05）；干预前两组患者ESCA 评分无显著差异（P＞0.05），干预后LN组比KE 组高（P＜0.05）；干预前两组患者SF-36 评分无显著差异（P＞0.05），干预后LN 组比KE 组高（P＜0.05）；LN 组患者并发症发生率比KE 组低5.88%＜23.53%（P＜0.05）；LN 组患者护理满意度比KE 组高97.06%＞73.53%（P＜0.05）。结论 在肝内胆管结石行PTCS 带管患者护理中采用基于“互联网+”的延续性护理干预具有显著效果，能提升患者自护能力及生活质量，值得推广应用。 |
| 关健词：互联网+；延续性护理；肝内胆管结石；PTCS 带管 |
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| Effect of continuous nursing intervention based on "Internet +" on patients with intrahepatic biliary calculi undergoing PTCS |
| Peiying Fang，Yan Ling |
| The Third Affiliated Hospital of Naval Medical University，Shanghai 201805，China |
| Abstract：Objective To explore the effect of continuous nursing intervention based on "Internet +" on patients with intrahepatic bile duct stones undergoing PTCS. Methods A total of 68 patients with intrahepatic biliary calculi receiving PTCS catheter admitted to The Third Affiliated Hospital of Naval Medical University from January 2022 to January 2024 were selected as the study objects,and were divided into KE group and LN group according to random number table grouping method, with 34 cases in each group. KE group received routine nursing, and LN group received "Internet +" continuous nursing. Knowledge, self-care ability (ESCA score), quality of life (SF-36 score), complication rate and nursing satisfaction were compared between the two groups. Results Before intervention, there was no significant difference in knowledge mastery score between the two groups (P>0.05), and after intervention, LN group was higher than KE group (P<0.05). There was no significant difference in ESCA score between the two groups before intervention (P>0.05), but after intervention, the LN group was higher than the KE group (P< 0.05). There was no significant difference in SF-36 scores between the two groups before intervention (P>0.05), and the score in LN group was higher than that in KE group after intervention (P<0.05). The incidence of complications in LN group was 5.88%<23.53% lower than that in KE group (P<0.05). The nursing satisfaction of LN group was 97.06%>73.53% higher than that of KE group (P<0.05). Conclusion The continuous nursing intervention based on "Internet +" has significant effects in the nursing care of patients with PTCS with intrahepatic bile duct stones, which can improve patients' self-care ability and quality of life, provide security for patients, and is worthy of promotion and application. |
| Keywords：Internet +; Continuous care; Intrahepatic bile duct calculus; PTCS with tube |
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